A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
The quantity is decreased (oliguria) in severe diarrhea; in fevers; in
all conditions which interfere with circulation in the kidney, as
poorly compensated heart disease; and in the parenchymatous forms of
nephritis. In uremia the urine is usually very greatly decreased and
may be entirely suppressed (anuria).
2. Color.--This varies considerably in health, and depends largely
upon the quantity of urine voided. The usual color is yellow or
reddish-yellow, due to the presence of several pigments, chiefly
urochrome. In recording the color Vogel's scale (see _Frontispiece_)
is very widely used, the urine being filtered and examined by
transmitted light in a glass three or four inches in diameter.
The color is sometimes greatly changed by abnormal {50} pigments.
Blood-pigment gives a red or brown, smoky color. Urine containing bile
is yellowish or brown, with a yellow foam when shaken. It may assume a
greenish hue after standing, owing to oxidation of bilirubin into
biliverdin. Ingestion of small amounts of methylene-blue gives a pale
green; large amounts give a marked blue. Santonin produces a yellow;
rhubarb, senna, cascara, and some other cathartics, a brown color;
these change to red upon addition of an alkali, and if the urine be
alkaline when voided may cause suspicion of hematuria. Thymol gives a
yellowish-green. Following poisoning from phenol and related drugs the
urine may have a normal color when voided, but becomes olive-green to
brownish-black upon standing. Urine which contains melanin, as
sometimes in melanotic sarcoma and, very rarely, in wasting diseases,
also becomes brown or black upon long standing.
3. Transparency.--Freshly passed normal urine is clear. Upon standing,
a faint cloud of mucus, leukocytes, and epithelial cells settles to
the bottom. Abnormal cloudiness is usually due to presence of
phosphates, urates, pus, blood, or bacteria.
_Amorphous phosphates_ are precipitated in neutral or alkaline urine.
They form a white cloud and sediment which disappear upon addition of
an acid.
_Amorphous urates_ are precipitated only in acid urine. They form a
white or pink cloud and sediment ("brick-dust deposit") which
disappear upon heating.
_Pus_ resembles amorphous phosphates to the naked eye. Its nature is
easily recognized with the microscope, or by adding a strong solution
of caustic soda to the sediment, which is thereby transformed into a
gelatinous mass (Donné's test).
{51} _Blood_ gives a reddish or brown, smoky color, and may be
recognized with the microscope or by tests for hemoglobin.
_Bacteria_, when present in great numbers, give a uniform cloud which
cannot be removed by ordinary filtration. They are detected with the
microscope.
The cloudiness of decomposing urine is due mainly to precipitation of
phosphates and multiplication of bacteria.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account